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1. <br />2. <br />APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICI^“'^'’ <br />(Ordlnanct No. 164, Second S«rlts-Adopt«M2n«^^ q ^ <br />Make check payable to: CityofOrono CITYOFORONO <br />Mailing address: <br />FEE; $100.00 (February 1-January 31) <br />Applicant's Full Name <br />FIRST T <br />P.O. Box 66 <br />Crystal Bay, MN 55323 <br />MIDDLE <br />Applicant's Home Address <br />o« f2ci <br />HOUSE NUMBER STREET HOME PHONE <br />jr^ifciLf nJ IS <br />CITY ^ <br />wMaJ <br />STATE <br />3. Applicant's Business <br />__^THTf O A/ <br />TYre OF BUSINESS <br />BUSINESS NAME <br />^^^^DRESS <br />___CxT°!D <br />9^^ <br />BUSINESS PHONE <br />A/ti. <br />STREET ADDRESS <br />CITY <br />Describe how the actual physical exchange of the tobacco, tobacco product, or <br />customer and the licensee or employee takes <br />/ HEREBY MAKE APPLICATION FOR LICENSE TO SELL TOBACCO. TOBACCO <br />PRODUCTS, OR TOBAP^ RELA TED DEVICES A T THE ABOVE LOCA TION SUBJECT <br />MINNESOTA AND THE ORDINANCES OF THE CITYOF 0RON(* ^ <br />) <br />Date ^ <br />4 <br />\ <br />Th9l$mmc§ai9gcmmund9rihl9ordk}anc9shaKbecon9kimBdapri^4hg9mfnoimtab9oh^rfaMofffie^^ <br />9nd 8hM not snffUo tho tfOk^ to on wHonwHc fono¥ifal of iho Uconao.